Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.13 / $823.03 / $1,421.92	Professional		$721.13	$823.03	$1,421.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $514.41 / $514.41 / $514.41	Professional		$514.41	$514.41	$514.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.07 / $1,321.51 / $6,736.52	Facility		$790.07	$1,321.51	$6,736.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.80 / $967.89 / $1,323.00	Professional		$761.80	$967.89	$1,323.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $742.90 / $757.23	Facility		$80.00	$742.90	$757.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $942.61 / $942.61 / $942.61	Facility		$942.61	$942.61	$942.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.90 / $1,095.20 / $1,684.92	Professional		$800.90	$1,095.20	$1,684.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,684.23	Facility		$55.00	$55.00	$6,684.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,011.92 / $6,130.48 / $7,165.43	Professional		$6,011.92	$6,130.48	$7,165.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $803.22 / $1,046.23 / $1,671.87	Facility		$803.22	$1,046.23	$1,671.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.58 / $1,229.49 / $1,524.57	Professional		$1,024.58	$1,229.49	$1,524.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $848.95 / $1,140.50 / $1,867.48	Professional		$848.95	$1,140.50	$1,867.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.22 / $1,054.82 / $1,681.44	Facility		$803.22	$1,054.82	$1,681.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.64 / $1,136.40 / $1,713.25	Professional		$807.64	$1,136.40	$1,713.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.04 / $867.01 / $1,417.19	Professional		$642.04	$867.01	$1,417.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.56 / $794.37 / $1,102.85	Professional		$699.56	$794.37	$1,102.85